Workers Compensation Claims Examiner III | Dallas, TX area

Insurance Placement Solutions (IPS) has an immediate opening for a Workers’ Compensation Claims Examiner III with our client in Irving, Texas. This is a direct-hire opportunity focused on highly complex, litigated, and high-exposure Texas workers’ compensation claims. In-office candidates are preferred, although hybrid or fully remote arrangements may be considered for qualified candidates residing outside the Dallas metroplex.

In this role, you’ll independently manage complex workers’ compensation indemnity claims from investigation through resolution. You’ll evaluate claim exposure, develop resolution strategies, establish reserves, direct litigation, negotiate settlements, and provide technical guidance to less experienced claims examiners.

Workers’ Compensation Claims Examiner III Responsibilities

• Manage a caseload of approximately 125–150 complex, litigated, and high-exposure workers’ compensation claims
• Investigate claims and evaluate complex compensability issues
• Assess medical, disability, and litigation exposures to develop effective claim resolution strategies
• Establish and adjust reserves based on claim exposure and developments
• Authorize claim payments and settlements within designated authority
• Direct defense counsel and oversee litigation strategy and activities
• Evaluate significant legal developments and settlement recommendations
• Negotiate settlements on complex and high-exposure claims
• Prepare detailed captioned reports outlining claim status, exposure, reserves, litigation strategy, and recommended resolution
• Identify and escalate claims exceeding assigned authority or requiring management involvement
• Provide technical guidance to less experienced claims examiners as assigned
• Maintain accurate and timely claim documentation
• Ensure claims are handled in accordance with Texas workers’ compensation regulations and client requirements

Qualifications

• Minimum of 3 years of workers’ compensation claims handling experience, with 3–5 years preferred
• Experience independently managing complex, litigated, and high-exposure workers’ compensation indemnity claims
• Experience with subscriber workers’ compensation claims
• Advanced knowledge of Texas workers’ compensation laws, regulations, and claims handling requirements
• High school diploma or GED required

Preferred

• Experience handling workers’ compensation claims for cities, counties, municipalities, or other public entities
• Bachelor’s degree in a related field

Licensing & Certifications

• Active Texas Workers’ Compensation Adjuster License required

Work Arrangement

• Direct-hire opportunity
• Position based in Irving, Texas
• In-office work preferred
• Hybrid or fully remote arrangements may be considered for qualified candidates outside the Dallas metroplex

About Insurance Placement Solutions

Insurance Placement Solutions is a staffing and recruiting firm specializing in the insurance industry. We connect talented professionals with temporary, temp-to-hire, and direct-hire opportunities at leading insurance organizations across the United States.

ID: 006Uw00000fEeZ4